Active NPI
Jay Zachary Little, LPC
- Counselor
- Columbia, SC
National Provider Identifier
1114543774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7379
- Practice address
- 2740 Devine St Ste 1&2
Columbia, SC 29205-2412 - Phone
- (803) 457-5413
- NPI assigned
- Jun 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7379 | SC | Primary |
Addresses
Primary practice location
2740 Devine St Ste 1&2
Columbia, SC 29205-2412
Mailing address
PO Box 212901
Columbia, SC 29221
Phone (803) 457-5413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7379 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1114543774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 212901",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29221",
"telephone_number": "803-457-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 DEVINE ST STE 1&2",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052412",
"telephone_number": "803-457-5413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JAY",
"middle_name": "ZACHARY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "7379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.